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EP15.27: Is size of endometrial polyps associated with the risk of malignant or premalignant changes in postmenopausal polyps?
Author(s) -
Wong M.,
Thanatsis N.,
Nardelli F.,
Meththananda I.,
Madhvani K.,
Amin T.,
Bean E.,
Jurkovic D.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.20022
Subject(s) - medicine , endometrial polyp , atypia , malignancy , polypectomy , gastroenterology , postmenopausal women , dysplasia , cancer , colonoscopy , pathology , endometrium , colorectal cancer
after fibroids was provided only by sutures (control group, CG). In all patients’ ultrasound examination has been done 1, 3, 6 and 12 months after myomectomy to assess the healing of the myomectomy wound. Results: In CG, in the ultrasound examination, an avascular hypoechogenic area, less than 3 cm in diameter, was observed. In SG, 1 month after myomectomy an avascular hyperechogenic area (AHA) corresponding to the absorbent material was observed in the place of enucleation of the fibroid. Median (Me) AHA volume (calculated from 3 dimensions) 1 month after surgery was 30% of the volume of enucleated fibroids. Me AHA volume 3 and 6 months after myomectomy was respectively 12,5% and 3,7%. 12 months after surgery, in all patients, AHA was not observed (an ultrasound image similar to CG). Conclusions: We conclude that uterus image after myomectomy of large fibroids with intraoperative application of absorptive materials with fibrinogen is similar to that after classic myomectomy, after 12 months of observation.